Neighborhood deprivation, built environment, and overweight in adolescents in the city of Oslo
Abstract Background Even though the social and built environment characteristics of neighborhoods have been studied as potential determinants of social inequalities in obesity among adults, fewer studies have focused on children. Our first aim was to investigate whether there were differences in the...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-023-15261-2 |
| _version_ | 1797831865127665664 |
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| author | Sílvia R. Coutinho Oddbjørn Klomsten Andersen Nanna Lien Mekdes K. Gebremariam |
| author_facet | Sílvia R. Coutinho Oddbjørn Klomsten Andersen Nanna Lien Mekdes K. Gebremariam |
| author_sort | Sílvia R. Coutinho |
| collection | DOAJ |
| description | Abstract Background Even though the social and built environment characteristics of neighborhoods have been studied as potential determinants of social inequalities in obesity among adults, fewer studies have focused on children. Our first aim was to investigate whether there were differences in the food and physical activity environments between different neighborhood deprivation levels in the city of Oslo. We also explored whether there was an association between the prevalence of overweight (including obesity) among adolescents and (i) neighborhood deprivation levels and (ii) food and physical activity environments of the neighborhoods they live in. Methods We conducted a food and physical activity environment mapping (using ArcGIS Pro) in all neighborhoods of Oslo, which were defined by administrative boundaries (sub-districts). The neighborhood deprivation score was calculated based on the percentage of households living in poverty, unemployment in the neighborhood, and residents with low education. A cross-sectional study including 802 seventh graders from 28 primary schools in Oslo residing in 75 out of 97 sub-districts in Oslo was also performed. MANCOVA and partial correlations were ran to compare the built environment distribution between different neighborhood deprivation levels, and multilevel logistic regression analyses were used to explore the effect of neighborhood deprivation and the food and physical activity environments on childhood overweight. Results We found that deprived neighborhoods had greater availability of fast food restaurants and fewer indoor recreational facilities compared to low-deprived neighborhoods. Additionally, we observed that the residential neighborhoods of the adolescents with overweight had greater availability of grocery and convenience stores when compared to the residential neighborhoods of the adolescents without overweight. Adolescents living in neighborhoods with high deprivation had a two-fold higher odds (95% CI = 1.1–3.8) to have overweight compared to adolescents living in neighborhoods with low deprivation, regardless of participants’ ethnicity and parental education. However, the built environment did not determine the relationship between neighborhood deprivation and overweight in adolescents. Conclusion The neighborhoods in Oslo with higher deprivation levels had more obesogenic characteristics than the low-deprived neighborhoods. Adolescents living in high-deprived neighborhoods were more likely to have overweight than their counterparts from low-deprived neighborhoods. Thus, preventive measures targeting adolescents from high-deprived neighborhoods should be put in place in order to reduce incidence of overweight. |
| first_indexed | 2024-04-09T13:58:34Z |
| format | Article |
| id | doaj.art-19acbb182c654a5c86c8139fb0154fcd |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-09T13:58:34Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-19acbb182c654a5c86c8139fb0154fcd2023-05-07T11:26:22ZengBMCBMC Public Health1471-24582023-05-0123111410.1186/s12889-023-15261-2Neighborhood deprivation, built environment, and overweight in adolescents in the city of OsloSílvia R. Coutinho0Oddbjørn Klomsten Andersen1Nanna Lien2Mekdes K. Gebremariam3Department of Nutrition, University of OsloDepartment of Sports Medicine, Norwegian School of Sport SciencesDepartment of Nutrition, University of OsloDepartment of Community Medicine and Global Health, University of OsloAbstract Background Even though the social and built environment characteristics of neighborhoods have been studied as potential determinants of social inequalities in obesity among adults, fewer studies have focused on children. Our first aim was to investigate whether there were differences in the food and physical activity environments between different neighborhood deprivation levels in the city of Oslo. We also explored whether there was an association between the prevalence of overweight (including obesity) among adolescents and (i) neighborhood deprivation levels and (ii) food and physical activity environments of the neighborhoods they live in. Methods We conducted a food and physical activity environment mapping (using ArcGIS Pro) in all neighborhoods of Oslo, which were defined by administrative boundaries (sub-districts). The neighborhood deprivation score was calculated based on the percentage of households living in poverty, unemployment in the neighborhood, and residents with low education. A cross-sectional study including 802 seventh graders from 28 primary schools in Oslo residing in 75 out of 97 sub-districts in Oslo was also performed. MANCOVA and partial correlations were ran to compare the built environment distribution between different neighborhood deprivation levels, and multilevel logistic regression analyses were used to explore the effect of neighborhood deprivation and the food and physical activity environments on childhood overweight. Results We found that deprived neighborhoods had greater availability of fast food restaurants and fewer indoor recreational facilities compared to low-deprived neighborhoods. Additionally, we observed that the residential neighborhoods of the adolescents with overweight had greater availability of grocery and convenience stores when compared to the residential neighborhoods of the adolescents without overweight. Adolescents living in neighborhoods with high deprivation had a two-fold higher odds (95% CI = 1.1–3.8) to have overweight compared to adolescents living in neighborhoods with low deprivation, regardless of participants’ ethnicity and parental education. However, the built environment did not determine the relationship between neighborhood deprivation and overweight in adolescents. Conclusion The neighborhoods in Oslo with higher deprivation levels had more obesogenic characteristics than the low-deprived neighborhoods. Adolescents living in high-deprived neighborhoods were more likely to have overweight than their counterparts from low-deprived neighborhoods. Thus, preventive measures targeting adolescents from high-deprived neighborhoods should be put in place in order to reduce incidence of overweight.https://doi.org/10.1186/s12889-023-15261-2Neighborhood deprivationFood environmentPhysical activity environmentChildhood overweight |
| spellingShingle | Sílvia R. Coutinho Oddbjørn Klomsten Andersen Nanna Lien Mekdes K. Gebremariam Neighborhood deprivation, built environment, and overweight in adolescents in the city of Oslo BMC Public Health Neighborhood deprivation Food environment Physical activity environment Childhood overweight |
| title | Neighborhood deprivation, built environment, and overweight in adolescents in the city of Oslo |
| title_full | Neighborhood deprivation, built environment, and overweight in adolescents in the city of Oslo |
| title_fullStr | Neighborhood deprivation, built environment, and overweight in adolescents in the city of Oslo |
| title_full_unstemmed | Neighborhood deprivation, built environment, and overweight in adolescents in the city of Oslo |
| title_short | Neighborhood deprivation, built environment, and overweight in adolescents in the city of Oslo |
| title_sort | neighborhood deprivation built environment and overweight in adolescents in the city of oslo |
| topic | Neighborhood deprivation Food environment Physical activity environment Childhood overweight |
| url | https://doi.org/10.1186/s12889-023-15261-2 |
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